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The mother's condition during pregnancy, childbirth, the postpartum period, and the baby being born are greatly influenced by the mother's health. The consequences of anemia in pregnant women include the risk of abortion, premature birth, fetal growth restrictions, increased risk of infection, low birth weight babies, as well as other complications such as difficulties during delivery, congenital abnormalities, and the risk of shock during the birth process. Complementary therapies refer to various systems of medicine and health care that are not included in conventional medicine. This therapy aims to complement conventional medical treatment and must be in accordance with applicable health values and laws. The aim of the activity is to create complementary educational media to overcome anemia in pregnant women at the Kotabaru Community Health Center. Activities will be carried out in January 2024 involving pregnant women and the community in the Kotabaru Community Health Center working area. The result is that activities have been carried out by providing education using poster media. Complementary implementation can be continued to inform the public so that pregnant women can be independent in maintaining their pregnancy and also have support from health workers and the community.

This study evaluates the effectiveness of vaccination programs in reducing the incidence of infectious diseases in low-income countries. By analyzing immunization coverage data and disease prevalence rates, the research highlights the successes and challenges faced by vaccination initiatives. The findings indicate that comprehensive vaccination campaigns significantly decrease morbidity and mortality rates, emphasizing the need for sustained investment and community engagement to improve public health outcomes.

This community service is conducted in the form of public health initiatives aimed at combating dengue hemorrhagic fever (DHF) in Indonesia. These initiatives are implemented in Labuh Baru Timur Village, RT 02/08, located in Payung Sekaki District, Pekanbaru City, Riau Province. The target beneficiaries of these activities include toddlers, children, adolescent girls, housewives, and the broader community. The primary objective of this community service endeavor is to enhance the knowledge of the targeted partner communities, particularly mothers who are members of POSYANDU (integrated health post), PUSKESMAS (community health centers), doctors, and village midwives, regarding the causes, consequences, and prevention strategies related to dengue hemorrhagic fever (DHF). The methods employed for executing this community service activity involved conducting household visits and organizing discussions on dengue hemorrhagic fever (DHF). Data about participants’ understanding of DHF were collected through pre-test and post-test questionnaires. The anticipated outcome of these efforts is to reduce the incidence of dengue hemorrhagic fever (DHF) and minimize its impact on affected individuals. In instances where residents are diagnosed with DHF and necessitate hospitalization, the objective is to facilitate their prompt and full recovery, thereby enabling them to resume their daily routines, including school attendance.

Environmental laws play a critical role in shaping sustainable urban development by setting guidelines and regulations for managing natural resources, waste, and pollution. This study explores the influence of environmental law on sustainable city planning, examining case studies from various urban areas to assess the efficacy of these laws in promoting green spaces, reducing carbon emissions, and enhancing public health. The research highlights legal challenges and provides recommendations for policymakers aiming to balance urban expansion with environmental preservation.  

The stochastic SEIR model offers an innovative approach to understanding the spread of infectious diseases, particularly tuberculosis, in limited populations. This study adopts a stochastic model to capture random variability in individual interactions, often overlooked in deterministic models. The population is divided into four main categories: Susceptible (S), Exposed (E), Infected (I), and Recovered (R), with transitions between categories determined by probabilities based on epidemiological parameters. Through simulations, the model demonstrates its capability to depict more realistic patterns of disease spread, including fluctuations in case numbers and epidemic duration. The findings indicate that stochastic variability plays a crucial role in understanding the dynamics of tuberculosis transmission, especially in small populations or when the number of individual contacts is limited. The stochastic SEIR model can serve as an effective tool for policymakers to evaluate various intervention strategies, such as vaccination, transmission control, and treatment, as well as to design public health policies that are data-driven and adaptive to epidemiological uncertainties.

Public health is a fundamental pillar of regional development as it directly affects the quality of life, productivity, and social welfare of the community. At the local level, the village head (lurah) plays a strategic role in encouraging community participation and coordinating public health programs. This Community Service Program (PKM) aims to analyze the role of the village head in improving public health through a public administration approach in Bumi Ayu Subdistrict, Dumai City. The methods applied in this program include counseling, training, simulation, and free health screening services using an educational approach. The activity was conducted on July 20, 2024, at STIA Lancang Kuning Campus and involved more than 100 participants from various community groups. The results indicate an increased public awareness of the importance of regular health check-ups and early detection of non-communicable diseases such as hypertension, diabetes, cholesterol, and uric acid disorders. In addition, the program strengthened the roles of the village heads, Posyandu cadres, and PKK members in supporting community health services. The discussion reveals that the success of public health programs at the subdistrict level is strongly influenced by participatory, collaborative, and responsive local leadership. This PKM activity is expected to serve as a model for strengthening the role of local government in promoting sustainable community health development.

Health services are one of the fundamental needs of society and play a crucial role in determining quality of life and social welfare. However, limited access to routine health check-ups and low public awareness of the importance of early disease detection remain significant challenges in many areas, including Bumi Ayu Village. This Community Service Program (PKM) aims to establish a partnership between STIA Lancang Kuning, local health centers, and the community to improve health services through basic health examinations. The program was implemented using health education sessions, interactive discussions, and continuous monitoring and evaluation. The health examinations included blood glucose, cholesterol, blood pressure, and uric acid checks. The results indicate an improvement in community knowledge and awareness regarding the importance of routine health examinations as a preventive measure against disease. Active community participation throughout the program reflects positive acceptance of the established partnership model. This activity demonstrates that collaboration between higher education institutions, health professionals, and the community can serve as an effective strategy to enhance the quality of local health services.

Community health centers (Puskesmas) play a strategic role as primary health care facilities in improving public health status. However, Puskesmas Bumi Ayu still faces several challenges, including limited human resources, inadequate facilities, and suboptimal community participation in supporting health services. This Community Service Program (PKM) aims to enhance the quality of community health services through a community organizing approach that actively involves health workers and service users. The methods employed include health education, interactive discussions, and participatory monitoring and evaluation conducted at Puskesmas Bumi Ayu, Dumai Selatan District. The results indicate an improvement in the understanding of health workers and the community regarding patient-oriented service quality, optimization of available resources, and strengthened collaboration among the health center, local government, and the community. Furthermore, the program fostered collective awareness, positive behavioral changes, and the emergence of local change agents supporting community-based health services. Overall, this PKM contributes to the development of more responsive, inclusive, and sustainable primary health care services in the working area of Puskesmas Bumi Ayu

This study examines the quality of outpatient public services for BPJS Health patients at the Regional General Hospital of Dumai City. The purpose of this research is to assess how service quality is experienced by patients and how effectively outpatient services are delivered. A qualitative descriptive approach was used, with data collected through direct observation, in-depth interviews, and documentation. Informants included outpatient service staff and BPJS patients selected purposively to represent both service providers and service users. The analysis focuses on five dimensions of service quality: physical facilities, service reliability, responsiveness, assurance, and empathy. The results indicate that outpatient services are generally perceived as adequate, particularly in terms of physical facilities, diagnostic accuracy, and staff professionalism. However, delays in registration and service processes remain a major concern, mainly due to high patient volume and administrative procedures. In addition, differences in staff communication and interpersonal attitudes lead to variations in patient experiences. Overall, the study highlights the importance of improving service responsiveness and strengthening empathetic communication to enhance patient satisfaction and the effectiveness of public hospital outpatient services.

Health is an important factor that influences the quality of life of the community. This study aims to increase awareness of the people of Karawana Village, Dolo District, Sigi Regency, about the importance of maintaining cholesterol levels through regular physical activity. The methods used include counseling, healthy exercise, and cholesterol checks using a cholesterol meter. This activity was attended by 8 participants aged over 40 years. The results showed that 2 participants had total cholesterol levels above 239 mg/dL, which indicates a high risk of cardiovascular disease. The education provided succeeded in increasing public understanding of the importance of a healthy lifestyle and regular health checks. The conclusion of this activity is the need for follow-up in the form of health counseling and ongoing education programs to maintain public health related to cholesterol.

The current era is an era of scientific and technological progress which gives rise to competition in various fields as well as socio-economic improvements which have an impact on the level of public health and life expectancy, so that the number of people who pay less attention to health is also increasing. The most important impacts are physical, psychological and social setbacks. Mothers are one of the efforts to maintain health nowadays because mothers play a greater role in maintaining family health and need to understand balanced nutritional intake and a healthy lifestyle. From a survey conducted by the service team through interviews with several residents, it is known that the high population of mothers in Sariwangi village is a concern for the community, but the problem is related to the health of mothers. This service was carried out at the PKK Selawangi Village and Posyandu Cempaka 3 Selawangi Village, Sariwangi District. The first stage is planning the activities carried out. The second stage is the implementation of service activities in the form of solutions that have been approved by partner 1 and partner 2, namely Sariwangi Village.

Administering advanced doses of the Covid-19 vaccine (booster) to the public will provide longer protection against the corona virus. The benefits of booster vaccines from a health perspective have at least 3 important reasons. First, there has been a tendency for the number of antibodies to decrease since 6 months after vaccination, especially amid the emergence of new Covid-19 variants including the Second Omicron variant, as a form of effort to adapt people living during the Covid-19 pandemic for long-term health. And third, fulfilling the right of every Indonesian to access vaccines for self and community protection.Some people have complied with health protocols, but there are still others who lack the awareness to apply the 5M principles, namely wearing masks, washing hands, maintaining distance, avoiding crowds, and reducing mobility. Everyone must be willing and able to make changes in 5M compliance behavior, so as to prevent the transmission of Covid-19. The Devotion Team and church servants always remind all members of the congregation to remain disciplined in complying with health protocols and supporting the government's efforts to break the chain of distribution of Covid-19. One of the efforts that can be used to stop the transmission of Covid-19 is by administering the covid-19 vaccine and booster vaccines, using PPE, washing hands, and keeping a distance.The result of this service activity is that all members of the dock seven congregation and its surroundings will receive a complete vaccine starting from vaccines 1, 2, booster 1, and booster 2 so that an immune system and clinical protection are achieved as an effort to maintain long-term health.

The community has the right to get a clean, beautiful, comfortable and healthy environment; get cleaning services; utilizing and processing waste; actively participate in waste management activities; and obtain information from local governments and/or other parties that are directly related to the sustainability of life related to waste. This right has direct implications for the community's obligations regarding the management of household waste and/or similar household waste by being obliged to reduce and/or handle waste in an environmentally sound manner. Unfortunately, the handling of environmentally sound waste has not gone well due to inadequate facilities, enforcement of regulations, and low awareness of the community itself. PT. Wahana Anugerah Energi has developed a waste collection and transportation system using a smartphone application called Rapel. Rapel campaigns for sustainable waste management in households. Currently, Rapel provides garbage pick-up services, especially for recycled waste. However, the problems faced include: wide community reach but with Human Resources (HR) PT. The Wahana Anugerah Energi (Rapel Surakarta) is limited, facilities and infrastructure for the ongoing development of understanding of waste management for the community are not sufficient, the application of Rapel is not yet known by the people of Surakarta. overcome, the lack of public awareness of Surakarta City regarding waste management, lack of cooperation and coordination with agencies related to waste problems so that Rapel technology has not received public knowledge, Surakarta people do not know about data integration related to environmental information. From this problem, we  design a social marketing communication program so that Rapel Indonesia's goal of encouraging people to sort household waste can be achieved. To achieve this, we design a waste sorting workshop by presenting credible sources such as Lyfe With Less Representative and Rapel Indonesia Manager. Keywords: Waste Management, Education, Society, Technology, Surakarta

Malaria is an infectious disease caused by parasites of the genus Plasmodium. It targets erythrocytes and manifests with symptoms such as fever, chills, anemia, and splenomegaly, either acutely or chronically, transmitted to humans through the bite of infected female Anopheles mosquitoes. Malaria remains a public health problem in many areas, including Kampung Baru Village, Galang Baru Subdistrict, Batam City. In order to fulfill the mission of community service, we have designed a comprehensive and sustainable education program to increase awareness and knowledge of the community about malaria. This program not only focuses on educating about the prevention and management of the disease but also directly involves active participation of the community in the learning and implementation process. Through collaboration with various parties, such as community leaders, health workers, and local leaders, we aim to create an environment that supports sustainable behavioral change in malaria prevention efforts. Additionally, we integrate a multidisciplinary approach in this program by addressing specific challenges faced in the local context, such as limited access to healthcare services, environmental conditions conducive to the breeding of malaria-carrying mosquitoes, and socio-economic factors influencing prevention and treatment efforts. Thus, this education program aims not only to reduce the burden of malaria in Kampung Baru Village and its surroundings but also serves as a tangible contribution to fulfilling the tri dharma activities of higher education institutions in the field of community service.

The purpose of this research is to analyze the legal protection of children's health rights from the dangers of school snacks in Kupang City. This research is an empirical research, which uses data collection techniques through interviews, documentation studies to obtain primary and secondary data on Legal Protection of Children's Health Rights from the Dangers of School Snacks in Kupang City, with 11 respondents, data analyzed descriptively qualitative. The results showed that the legal protection of school children as consumers of PJAS (School Snack Food) in Kupang City, in conducting legal protection of school children has not been effective because BPOM conducts surveillance in schools in Kupang city only taking sampling from several schools in Kupang city. The efforts of POM Center in Kupang in supervising PJAS (school snacks) in Kupang City, in performing the supervisory function of safe PJAS in Kupang City are limited experts to conduct supervision in the field, the rise of online sales, the low level of public education and the lack of strict law enforcement. (3) Are the prevention efforts carried out by the POM Center in Kupang against PJAS (school snack food) traders in Kupang City, the Food and Drug Supervisory Agency has not been maximized in sanctioning school snack food traders who are proven to use hazardous ingredients in processed food.

Background: Reproductive health is complete physical, mental and social well-being in all matters relating to reproductive systems and functions and processes and not just conditions that are free from disease and disability. One of the reproductive health problems that we are often familiar with is sexually transmitted infections. Sexually Transmitted Infections (STI) are infectious diseases that are transmitted mainly through sexual contact, and are currently still a public health problem throughout the world, both in developed (Industrial) countries and in developing countries. Research Objective: To determine the effect of health promotion about STI (Sexually Transmitted Infections) on community knowledge, in this case teenagers in Pukdale Village, East Kupang District. Research Method: This type of research uses the Quasi Experiment One Group Pre Test-Post Test method, using the Wilcoxon analysis test. This research was conducted in October 2023. Using a total sampling of 45 respondents as samples. The questionnaire used consisted of 20 statement items. Results: The relationship between health promotion and adolescent knowledge of sexually transmitted infections, before health promotion regarding STIs was carried out, 2 respondents (4.4%) had good knowledge, 14 respondents (31.3%) had sufficient knowledge, and 29 respondents (64.4%) had good knowledge. less and after health promotion regarding STIs was carried out, 17 respondents (37.8%) had good knowledge, 20 respondents (44.4%) had sufficient knowledge, and 8 respondents (17.8%) had poor knowledge. The relationship results use the correlation test ρ = 0.000 < 0.05. Conclusion: There is a significant relationship between health promotion and public knowledge, in this case teenagers, regarding Sexually Transmitted Infections after health promotion is carried out.

Background: Hypertension is the number one cause of death in the world every year because it causes complex cardiovascular problems. Semarang City Department's 2023 health profile data shows the number of hypertension is 24,949. Practicing holding a handgrip is a non-pharmacological therapy for treating hypertension because it stabilizes blood pressure and heart rate. Many combination therapies are used, including combining handgrip exercises with sound waves. Natural sounds will stimulate the hypothalamus, resulting in a feeling of calm and have an effect on the blood pressure regulation mechanism. The aim of this study was to determine the effect of a combination of handgrip exercise and natural sounds on the blood pressure of clients with hypertension. This research method is a pre-experimental one group pre and post test design and sampling using purposive sampling technique. The population of this study were clients who were recorded as suffering from hypertension at the Sekaran Semarang Community Health Center. The research instrument uses a digital spygmomanometer and SOP for action. The research stages consist of preparation, implementation and processing of research data. The steps in the preparation stage are literature study, field survey, discussions with lecturers and experts, developing procedures for the combination of handgrip exercise and natural sounds, expert review, and socialization of the combination of handgrip exercise and natural sounds to clients and families. The implementation stage is carried out by collecting data on clients registered at the Sekaran Semarang Community Health Center, pre and post tests by measuring blood pressure using a spygmomanometer, implementing actions according to the prepared SOP, observing implementation using an observation sheet. In the data processing stage, a Paired Sample T-test was carried out to assess the effect of the combination of handgrip exercise and natural sounds on the blood pressure of clients with hypertension. The targeted output is publication in national journals indexed by Sinta and HAKI. The TKT target for this combination of handgrip exercise and natural sounds is level 2. The research results showed that 91.67% of respondents experienced an average reduction in systolic blood pressure of 10.69 mmHg and diastolic blood pressure of 6.11 mmHg. Based on the Paired Sample T-test, the results obtained were 0.000 for the systolic value and 0.001 for the diastolic value, both of which were smaller than the p value of 0.05, so it was concluded that there was an influence of the combination of handgrip exercise and natural sounds on the blood pressure of clients with hypertension. The results of this research can be input for related parties to implement a combination of handgrip exercise and natural sounds as non-pharmacological therapy for hypertension sufferers.

One of the strategies for the Family Planning (KB) program to reduce maternal and infant mortality is to minimize the 4T conditions. Contraceptive use is still dominated by short-term contraceptive methods, especially injections and pills. Only a quarter of family planning participants use long-term methods of contraception, such as IUDs and implants. The Research objective is to analyze the need for long-term contraceptive methods for injection acceptors based on rational contraceptive use at the Wirang Public Health Center. The method is types of descriptive research. Time of study January 2023. The sample is 168 people. The data source for this research was secondary data in October 2022 regarding injecting birth control acceptors which were analyzed univariately. This study obtained the results of MKJP contraceptive needs based on the phase of contraceptive use (rational contraception), is in the phase of ending the pregnancy as many as 93 people (55.36%). Concluded that contraceptives used by WUS injecting family planning acceptors are not in accordance with rational use of contraception. With age > 35 years or having > 2 children and the pregnancy termination phase, the contraceptive method needed is MKJP contraception.

Children are one of the age groups that are very vulnerable to nutritional problems. Nutritional problems do not only occur when the mother is pregnant, nutritional problems also arise during infancy. The occurrence of nutritional problems in infants, namely, allergies to food ingredients, excess nutrition or obesity, and diarrhea can lead to malnutrition which has the potential to cause poor nutritional status and even malnutrition. This case report aims to carry out midwifery care for under-fives with malnutrition comprehensively and sustainably through the SOAP documentation approach. Case collection was carried out by conducting patient home visits. Conclusion of midwifery care An. A with poor nutrition, after carrying out midwifery care for 3 visits to the patient, the results obtained in the last study were an increase in weight in An. A from 9.2 to 9.7 kg body weight but still in the stage of undernourishment with the KMS curve status category according to BW/U is in yellow. The community is expected to comply with posyandu visits so that the growth and development of children can be monitored. For health services to be able to provide education to the public about the importance of monitoring the growth and development of children to avoid the incidence of malnutrition.

Environmental health problems are one of the social problems in life that have not been resolved since then until now. Individuals' lack of awareness of cleanliness is a factor that greatly influences environmental health. Therefore, providing understanding to the public regarding the importance of maintaining environmental cleanliness, especially in managing household waste, must be improved. Raising public awareness to live clean and free from waste is our common goal, not only for people in urban areas but also for people in rural areas. The lack of knowledge and awareness of the people of Serang Subdistrict regarding the importance of protecting the environment, and how to manage waste, can be seen from the large number of Serang Subdistrict residents who throw rubbish in gardens and even rivers, as well as the lack of rubbish bins in homes or in public places. To raise public awareness about caring for the environment requires education that must be carried out continuously, in order to change people's habits and mindset. This service aims to raise public awareness about throwing away rubbish in its proper place and socializing how to make rubbish bins from used plastic drums. The author uses the PAR (Participatory Action Research) method to solve environmental problems. The activities take the form of socializing information about environmental cleanliness and providing training to the community to make trash cans from items around us that are no longer used, one of which is using used plastic drums. The result of the activity is an increase in public knowledge of the importance of maintaining environmental cleanliness through the use of trash cans that have been made in view of the residential environment being free of rubbish, as well as the community's ability to make their own trash cans from used plastic drums.